| NPI | 1457695314 |
|---|---|
| Former Name | KATHLEEN ROSE DURSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 017775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13849) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2018-12-10 |